Decompression retinopathy after 25-gauge transconjunctival sutureless vitrectomy: report of 2 cases.

Decompression retinopathy is a rare postoperative complication of eyes that undergo sudden ocular decompression. It has been reported mainly after glaucoma filtering surgery. The clinical appearance is characterized by multiple round intraretinal hemorrhages, some with white centers, located in the postequatorial retina. Twenty-five–gauge transconjunctival sutureless vitrectomy (TSV25) has recently been introduced for vitreoretinal surgery. It is performed through 3 self-sealing transconjunctival pars plana sclerotomies. Despite the small sclerotomy caliber, it has been demonstrated that some patients develop transient hypotony and even choroidal detachment in the immediate postoperative period. We report 2 cases of ocular decompression retinopathy immediately after TSV-25 for retained lens fragments and elevated intraocular pressure (IOP) after complicated phacoemulsification.